736 ELM ST736 ELM ST
APPLICATION
The Cityof Edmonds for
SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
107-09540
OWNER........... Bell.a....T.hma.s... H-'........................................................... CONTRACTOR..------------------------------..........-----.......----------.--.................---------..... PERMIT No. ......................
ADDRESS ....... 7a6... Elm..St....................................................................... LEGAL DESCRIPTION: LOT No............................................... BLOCK No.............. ............................................
W
..J
U.
W
uj
CD
NAMEOF ADDITION.........................................................................................................................................
DYE TESTED ON SEWER, 1972
Approved:
DATE............................................... BY-----......----------.....---------.--...............................
rot
APPLICATION MOWS
for
The City of Edmonds SIDE SEWER PERMIT
EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
OWNER ..............
^'.!• CONTRACTOR __...__... PERMIT No..-----
ADDRESS ..... _..1-.. •................ ........ ------ LEGAL DESCRIPTION: LOT No............................................... BLOCK No. -----. .....................................
uJ
U.
U3
ul
�J
a
NAMEOF ADDITION ........-•..................•--..._.....__..._......._......._......--...................
Approved: �-
DATE....... -s - f--- BY ------ .:......................•-•---
,
I
I
I
/✓�
I
I
51
I
I
l
I I
I I I I
'�
I
I I
� �
L
I
I
I
I
1
-t-
I ,
I
I
I
I
I
I
I
I
I
I
I
II